Provider Demographics
NPI:1558809103
Name:HUNT, COLBY E (DPT)
Entity Type:Individual
Prefix:
First Name:COLBY
Middle Name:E
Last Name:HUNT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:VA
Mailing Address - Zip Code:24266-4666
Mailing Address - Country:US
Mailing Address - Phone:276-889-4090
Mailing Address - Fax:
Practice Address - Street 1:272 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:VA
Practice Address - Zip Code:24266-4666
Practice Address - Country:US
Practice Address - Phone:276-889-4090
Practice Address - Fax:276-889-4026
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-03
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305210882225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2305210882OtherLICENSE NUMBER